Individual provider Active NPI

Jennella Elizabeth Lawrence, M.A.

  • Speech-Language Pathologist
  • Brooksville, FL
National Provider Identifier
1508534876
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20719 Issued in FL
Practice address
20158 Cortez Blvd
Brooksville, FL 34601-3832
Phone
(352) 796-0069
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA20719FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Therapy Services Inc Speech-Language Pathologist CurrentSince Nov 7, 2025 Accepting new patients
Superior Therapy Services Inc Speech-Language Pathologist PastSince Nov 7, 2020 Accepting new patients

Locations

20158 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-2300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA20719 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

20158 Cortez Blvd
Brooksville, FL 34601-3832

Mailing address

315 NE 10TH Ave
Crystal River, FL 34429-4456
Phone (352) 795-7006

Other practice location 1

315 NE 10th Ave
Crystal River, FL 34429-4456
Phone (352) 795-7006

Other names 1

NPPES NPI Registry
  • Jennella Elizabeth Thomas Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2026.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1508534876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NE 10TH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294456",
            "telephone_number": "352-795-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20158 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013832",
            "telephone_number": "352-796-0069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 NE 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344294456",
            "country_code": "US",
            "telephone_number": "352-795-7006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JENNELLA",
        "middle_name": "ELIZABETH",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNELLA",
            "last_name": "THOMAS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.